<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('退款金额')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input name="row[sn]" type="hidden" value="{$row.sn}">
            <input id="c-refund_price" class="form-control" name="row[refund_price]" type="text"
                value="{$row.refund_price}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('审核状态')}:</label>
        <div class="col-xs-12 col-sm-8">
            
            <div class="radio">
            <label for="row[examine]-1"><input id="row[examine]-1" name="row[examine]" type="radio" value="1" checked /> 审批</label> 
            <label for="row[examine]-2"><input id="row[examine]-2" name="row[examine]" type="radio" value="2"  /> 驳回</label> 
            </div>

        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>